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Enteral Formula, Nutritionally Complete, Calorically Dense

Washington rates for HCPCS B4152

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

How much does Enteral Formula, Nutritionally Complete, Calorically Dense cost?

$0.38

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $0.38 for this service. The price depends on where it is billed: about $0.38 from a physician practice, and about $0.40 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.38$0.37 to $0.46
FacilityA hospital or hospital-owned outpatient department$0.40$0.38 to $0.56

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $2
$0.5$1$2$5$10$20facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.38
Typical High
$1.66
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.50
Typical High
$0.93
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.56
Typical High
$0.79
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.37
Median
$0.37
Typical High
$0.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$0.50
Typical High
$0.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.33
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.78
Typical High
$1.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.59

Where Washington sits

The same service costs 2.6 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 31st of 51

$0.38

HI $0.59WV $0.23

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.